Organization
ASTRA HEALTH CENTER OF BELLEVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RUSSO (OFFICE MANAGER)
(908) 760-8888
Entity
Organization
Contact information
Practice address
50 WASHINGTON AVE, BELLEVILLE, NJ 07109-2930
(908) 760-8888
Mailing address
50 WASHINGTON AVE, BELLEVILLE, NJ 07109-2930
(908) 760-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
10/13/2015
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